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[第二届癌症恶病质网络问卷调查——日本癌症恶病质患者证据Ⅱ(J-EPOCCⅡ)——癌症治疗期间食欲减退和体重减轻的早期检测与早期干预面临的挑战]

[The Second Web Questionnaire Survey on Cancer Cachexia Japanese Evidence for Patients Of Cancer CachexiaⅡ (J-EPOCCⅡ)-Challenges in Early Detection and Early Intervention for Appetite Loss and Weight Loss During Cancer Treatment].

作者信息

Kiguchi Maimi, Kanemata Satomi, Machii Koji, Doi Issei, Kinoshita Futoshi

机构信息

Medical Affairs, Ono Pharmaceutical Co., Ltd.

出版信息

Gan To Kagaku Ryoho. 2024 Feb;51(2):159-165.

PMID:38449402
Abstract

In 2019, the Cancer Cachexia Web Questionnaire Survey(J-EPOCC), conducted among cancer patients, their families and healthcare professionals in Japan showed that nearly half of patients who had experienced appetite loss or weight loss during cancer treatment had not consulted with healthcare professionals about their symptoms, and it meant that patients missed the opportunity to receive medical intervention. Since anamorelin was approved in 2021 fo"r Cancer cachexia in non- small cell lung cancer, gastric cancer, pancreatic cancer and colorectal cancer", the treatment environment for cancer cachexia has greatly changed. Thus, the second Web Questionnaire Survey(J-EPOCCⅡ)was conducted in June 2022 to investigate changes in the problem awareness of cancer cachexia, especially appetite loss and weight loss, among patients and their family and healthcare professionals. The results showed that there was no apparent change in awareness of appetite loss and weight loss, suggesting many patients may miss treatment opportunities. Further disease awareness is required among patients and their families to enhance the understanding of the significance of therapeutic interventions for appetite loss or weight loss, and to call their attention for early detection and treatment.

摘要

2019年,在日本癌症患者、其家属及医护人员中开展的癌症恶病质网络问卷调查(J-EPOCC)显示,近半数在癌症治疗期间经历过食欲减退或体重减轻的患者未就其症状咨询过医护人员,这意味着患者错失了接受医疗干预的机会。自2021年阿那莫林被批准用于“非小细胞肺癌、胃癌、胰腺癌和结直肠癌的癌症恶病质”以来,癌症恶病质的治疗环境发生了很大变化。因此,于2022年6月开展了第二次网络问卷调查(J-EPOCCⅡ),以调查患者及其家属以及医护人员对癌症恶病质,尤其是食欲减退和体重减轻问题的认知变化。结果显示,对食欲减退和体重减轻的认知没有明显变化,这表明许多患者可能会错失治疗机会。患者及其家属需要进一步提高疾病认知,以增强对食欲减退或体重减轻治疗干预重要性的理解,并引起他们对早期发现和治疗的关注。